Professional Documents
Culture Documents
Scheme
Enrolment Process
&
Enrolment MIS
Development
Waseela-e-Sehet
BISP
Syed Anwar Hussain
MIS Expert (WS)
Agenda
Presentation Objectives
Waseela-e-Sehet Objectives
HI Salient Features
HI Dynamics
HI Overall Scheme
HI Main Processes
Workflow at Enrolment Site
Enrolment MIS (Initiation Doc & RFP)
Why Smartcard ?
NADRA Proposal Highlights
Waseela-e-Sehet (HI)
Presentation Objectives
To present Overall Health Insurance
(HI) Scheme
To explain Enrolment MIS Project
To highlight NADRAs Proposal
WASEELA-e-SEHET
OBJECTIVE
Improving access to health
services and reducing income
loss from catastrophic health
shocks.
"Be Healthy Be
Productive
HI SALIENT FEATURE
The insured would be covered for hospitalization resulting
from illness or injury with an annual maximum of Rs.
25,000 per family (total of six members);
Benefits package would cover normal deliveries and
hospitalizations due to complicated deliveries and CSections;
Diagnostic tests/procedures conducted during
hospitalization will be covered;
Surgical procedures provided on a day care basis will be
covered;
The scheme will cover all ages;
Health insurance would not exclude pre-existing
conditions;
HI SALIENT FEATURE .
cont.
The scheme would provide opportunity to the
insured to get services from any enlisted hospital;
The premium as determined by the insurance
company and agreed with BISP for the insured
family would be paid annually in advance by BISP;
The insured will be provided transportation costs
for bringing the patients to the hospital with a
maximum of Rs.1000
The payments would be made to the hospitals and
this would be a cashless/paperless mechanism for
the patients.
HI SCHEME DYNAMICS
HI OVERALL SCHEME
HI MAIN PROCESS
Enrolment Process
Enrolment Software
1. Beneficiary Data Management Module: This application will extract the
data from existing BISP household data on the format decided among SLIC
and BISP Waseela-e-Sehet teams.
2. Download / Upload Module: This application will download household
data from BISP server to local server and will upload Beneficiary family
data from local server to BISP server in case BISP server is available online.
In case BISP server is offline then the local server should have the utility to
send data in batch file as well as generate backup on removable media.
3. Family Configuration Module: This application will convert household
data into family units. This application will have a full editing and search
utilities.
4. Photo & Biometric Module: This application will take photographs &
fingerprints of beneficiary and her family. And make the enrolled data
available to the Smart Card Activation module.
Waseela-e-Sehet (HI)
13
Enrolment Software
cont
14
NADRA Presentation
Complete demo of Enrolment Software with all
its functionalities;
Detailed methodology with Timelines of
Enrolment Process;
Technical aspect of Enrolment Procedures;
Integration scope with Transaction System;
Dedicated Team (members & roles) for the
Enrolment Project;
Effect/update on BISP core IT system;
Transition and Transfer of Technology Strategy.